Individual
EVA NOVAK BLIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP110635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-2578435
TRICARE
TX
01
—
45-2578435-001
TRICARE
TX
01
—
45-2578435-002
TRICARE
TX
01
—
P01536092
RAIL ROAD
TX
Enumeration date
02/21/2008
Last updated
02/06/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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